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European Spine Journal
Published in: European Spine Journal 1/2012

01-05-2012 | Original Article

Direct lateral access lumbar and thoracolumbar fusion: preliminary results

Authors: Pedro Berjano, Massimo Balsano, Josip Buric, Mary Petruzzi, Claudio Lamartina

Published in: European Spine Journal | Special Issue 1/2012

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Abstract

Purpose

To describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases.

Methods

Retrospective cohort review of 97 consecutive patients from three centers with minimum 6-month follow-up (mean 12 months). Functional status was evaluated by preoperative and last follow-up Oswestry Disability Index score. Leg and back pain were evaluated by visual analog scales. Complications were recorded and permanent complications and neurological impairment was actively investigated at last follow-up.

Results

No permanent neurological impairment, vascular or visceral injuries were observed. Transient neurological symptoms presented in 7% of cases, all resolved within 1 month from surgery. Transient thigh discomfort was observed in 9%. Clinical success was recorded in 92% of cases.

Conclusions

Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.
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Metadata
Title
Direct lateral access lumbar and thoracolumbar fusion: preliminary results
Authors
Pedro Berjano
Massimo Balsano
Josip Buric
Mary Petruzzi
Claudio Lamartina
Publication date
01-05-2012
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue Special Issue 1/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-012-2217-z

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